Apostolakos John M, Jildeh Toufic R, Dey Hazra Rony-Orijit, Dey Hazra Maria E, Chang Peter S, Geissbuhler Annabel R, Rutledge Joan C, Millett Peter J
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
The Steadman Clinic, Vail, Colorado, U.S.A.
Arthrosc Tech. 2023 Jul 3;12(8):e1281-e1288. doi: 10.1016/j.eats.2023.03.019. eCollection 2023 Aug.
Clinical instability of the sternoclavicular (SC) joint is a challenging problem. Recurrent subluxation and pain can lead to significant functional limitations. Although many patients respond positively to conservative treatment, chronic dislocations often require operative intervention. The complex anatomy of the diarthrodial SC joint and the existence of concomitant SC joint degenerative changes compounded with close-by neurovascular structures present a surgical challenge. The purpose of this Technical Note is to describe a technique for the open management of symptomatic sternoclavicular joint instability using a figure-of-8 reconstruction with a gracilis autograft. The present authors believe this technique provides a technically safe and reproducible method for reconstructing the SC joint without compromising biomechanical strength.
胸锁关节（SC）的临床不稳定是一个具有挑战性的问题。反复半脱位和疼痛会导致严重的功能受限。尽管许多患者对保守治疗反应良好，但慢性脱位通常需要手术干预。滑膜胸锁关节复杂的解剖结构、胸锁关节退行性变的存在，再加上附近的神经血管结构，给手术带来了挑战。本技术说明的目的是描述一种使用自体股薄肌8字重建术开放治疗有症状的胸锁关节不稳定的技术。本文作者认为，该技术为重建胸锁关节提供了一种技术上安全且可重复的方法，同时不影响生物力学强度。
